Home Instead Senior Care Retford and Gainsborough

Updated 9 March 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector and an assistant inspector. The assistant inspector made phone calls to people who used the service and their relatives.

Service and service type:

Home Instead Senior Care Retford and Gainsborough is a domiciliary care agency which provides personal care to people living in their own homes. The registered manager and nominated individual were both present during the course of our inspection visit. A nominated individual has overall responsibility for supervising the management of the regulated activity and ensuring the quality of the services provided. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This was an unannounced visit.

What we did:

Before the inspection we reviewed the information, we held about the service. This included the statutory notifications sent to us by the registered provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send to us by law. We also contacted the local authority and their safeguarding team and the local Healthwatch to gain their views. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

The inspection site visit activity took place on 5 February 2019. We visited the office location to see the registered manager and office staff; and to review care records and policies and procedures.

During the inspection site visit we spoke with the registered manager and the director. We also spoke with seven members of staff. We looked at care records for five people, medicine records for five people, recruitment records for four staff and other records relating to the management and quality monitoring of the service. We contacted five people to gather their views about the care and support they received.

Updated 9 March 2019

About the service:

Home Instead Senior Care Retford and Gainsborough is a domiciliary care service which provides support with personal care, shopping, domestic tasks and companionship to people living in their own homes. At the time of this inspection 23 people were using the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

People’s experience of using this service:

People told us they received safe care by consistent staff members. People received support to take their medicines safely and as prescribed. Risks to people's well-being and their home environment were recorded and updated when their circumstances changed.

People's rights to make their own decisions were respected. People were supported to access health services if needed. Staff had appropriate skills and knowledge to deliver care and support in a person-centred way.

People received caring and compassionate support from the staff. Staff referred to people in a respectful way. People were complimentary about staff and the positive relationships they had with them. Staff respected people's privacy and dignity and people were supported to be as independent as possible.

People received support that met their needs. Staff knew how to support people in the way they preferred. People knew how to complain.

The service was managed by a registered manager who had a clear vision about the quality of care they wanted to provide. Staff were aware of their roles and responsibilities. The senior team had a number of quality assurance systems in place and there was a focus on continuous development. The service worked well with other community partners.

Rating at last inspection:

Good (report published August 2016)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.

More information is in the detailed findings below.